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Pain Management

What is Pain Management?

Pain Management is the application of diagnostic and/or therapeutic procedures to diagnose and/or treat the tissues suspected of causing pain. Epidural Injections as well as Joint Injections are examples of pain management procedures.

Frequently asked questions about Epidural Injections:

What is fluoroscopy?

Fluoroscopy is an imaging technique that takes live x-ray images of the body. This enables the physician to check the positioning of the needle during the entire procedure.

Epidural Injection for Neck and Back Pain Relief

For certain types of neck or back pain, our doctor may suggest an Epidural Steroid Injection. With this treatment. medication is injected into your neck or back near your spine. The injection helps the doctor find the source of your pain. It can also help relieve your pain and soreness.

The Spinal Vertebrae

The vertebrae are the bones that make up your spine. The tunnel made by these vertebrae is called the spinal canal. The spinal cord runs through the spinal canal, inside a sac called the dura. Nerves branch off the spinal cord and exit through the vertebrae. Pressure on one of these nerves may cause it to become inflamed irritated or swollen. An inflamed nerve in your neck or back may cause pain that may also be felt in your head or arms or lower back and legs.

The Epidural Injection

To help relieve your pain, medication is injected into the epidural space. This space surrounds the dura within the spinal canal. Your doctor may also do a nerve block. During this procedure, medication is injected near a specific nerve root (the part that leaves the spinal canal). A nerve block can help your doctor find out which nerve or nerves are the source of your pain.

During the Procedure:

•To help you relax, medication may be given through the IV line. You will lie on an exam table on your stomach or side, or sit in a chair. Stay as still as you can.

During your treatment:

•The skin over the injection site is cleaned. A local anesthetic (pain medication) numbs the skin.

•Fluoroscopy (x-ray imagin) may be used to help your doctor see where the injection needs to go. A contrast "dye" may be injected into the region to help obtain a better image.

•The epidural injection is given. It may contain a local anesthetic to numb the region, steroids (medications that reduce inflammation), or both.

Epidural injections are often given in a series of three. This allows the benefit of more medication effect over a longer period of time, giving a greater chance of a succussful outcome.

Chronic Pain

Chronic pain may be defined as persistent and continous pain, for which there may be a definable cause, such as an injury or illness, or no apparent cause.

Up to 80% of Americans suffer from some form of a painful condition. Although exact statistics prove impossible, the estimate is staggering, Chronic pain costs billions of dillars annually. Don't let chronic pain stop you. Don't let pain interfere with your family, work and fun. Early diagnosis and treatment can often stop or reverse the progressive conditions of chronic pain. Don't let this happen to you.

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